| NPI | 1184894396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DOUGLAS WELLS Owner 606-298-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 14210) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-05-06 |